Shoulder Pain

Question 1

Shoulder Pain Differential

Answer 1

Rotator cuff tear
Acromioclavicular arthritis
Herniated cervical disc
Gallbladder (right)
Cardiac (left)
Tendinopathy
Degenerative conditions
Inflammatory conditions

Question 2

Shoulder Pain ROS

Answer 2

Trauma
Reach over head
Behind back
Neck/ upper back pain or previous injuries or surgeries
Weakness or Numbness
Walking or balance

Question 3

Shoulder Pain Exam

Answer 3

Neck and upper back exam (ROM)
Joint and clavicle component palpation
Inspect shoulder joint (drop sign, atrophy, swelling)
Shoulder ROM
Painful arc test
Drop arm test
Strength, motor, sensory, reflexes

Question 4

Shoulder Pain Plan

Answer 4

Shoulder XR/ US/ MRI
NSAIDs
RICE

Question 5

OMT for Shoulder Pain

Answer 5

Spencer technique